Cortisone shots to prolong the surgery for hip replacement

Posted by nursnis @nursnis, Mar 5, 2019

Has anyone had any experience with cortisone shots to hold off on having their hip replaced? Pros and Cons please.

I can comment as a PT that it is a very common treatment with relatively few cons other than it is not permanent and you can only get so many. The only con I can think of other than this is the potential for error during the procedure. The pros are it may relieve your pain for a while and buy you some time. Also when your hip pain is relieved you may find your back and other body parts feel better because you are not trying to compensate for the hip pain. Nowadays though a lot of hip replacements are done using an anterior approach. People recover a lot faster with this newer approach and don't have to worry about the traditional hip precautions of bending too far or crossing your legs, which can really limit you esp at first.

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@jaybergerpt

I can comment as a PT that it is a very common treatment with relatively few cons other than it is not permanent and you can only get so many. The only con I can think of other than this is the potential for error during the procedure. The pros are it may relieve your pain for a while and buy you some time. Also when your hip pain is relieved you may find your back and other body parts feel better because you are not trying to compensate for the hip pain. Nowadays though a lot of hip replacements are done using an anterior approach. People recover a lot faster with this newer approach and don't have to worry about the traditional hip precautions of bending too far or crossing your legs, which can really limit you esp at first.

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Thank You Jay— I have had 1 hip replacement and it went so well – was walking w/o devices in 9 days. Have a conservative Dr. so he gave me this option for now. Am trying to decide if I want to wait maybe 6 mos. for the surgery. I appreciate your reply.
Mary

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@nursnis

Thank You Jay— I have had 1 hip replacement and it went so well – was walking w/o devices in 9 days. Have a conservative Dr. so he gave me this option for now. Am trying to decide if I want to wait maybe 6 mos. for the surgery. I appreciate your reply.
Mary

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Hello Mary I'm I have had the cortisone shots in my hip plus soon afterwards, bone marrow aspirate injection, neither were effective. Everyone responds differently. Soon I am to have a Conformis Hip, after a year of waiting

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@nursnis Hi. I have had cortisone shots in my knees prior to TKRs and also in my hips due to bursitis. They have generally helped a great deal. The hip ones did not work a couple of times because the doctor did not pinpoint the location for the shot as well as he should have, but overall I have been very happy with them.
JK

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Thank You JK – How painful are they? I have a high tolerance for pain, but so many say they are so painful.'
M

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@nursnis

Thank You JK – How painful are they? I have a high tolerance for pain, but so many say they are so painful.'
M

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@nursnis Honestly, I really did not find them very painat all. There is always that little prick when they put the needle in but that’s a microsecond.
This topic reminded me this afternoon that my hip bursitis has been very painful recently so I called and made an appointment for cortisone. I have reached a point where I can’t sleep on either side, and I am a side-sleeper. It had seemed much better for a long time buts it’s back. :-(. I hope the doctor does it, not the PA. She hits the spot better than he does.
JK

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@contentandwell

@nursnis Honestly, I really did not find them very painat all. There is always that little prick when they put the needle in but that’s a microsecond.
This topic reminded me this afternoon that my hip bursitis has been very painful recently so I called and made an appointment for cortisone. I have reached a point where I can’t sleep on either side, and I am a side-sleeper. It had seemed much better for a long time buts it’s back. :-(. I hope the doctor does it, not the PA. She hits the spot better than he does.
JK

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@contentandwell Nurses can give better shots then Dr,s we have more experience

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@lioness

@contentandwell Nurses can give better shots then Dr,s we have more experience

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@lioness. I know that’s generally true, but in this case the doctor, a woman, is definitely better than the physician assistant, a man. Maybe woman are better at it? Traditionally, nurses used to be women.
JK

Liked by lioness

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@contentandwell

@lioness. I know that’s generally true, but in this case the doctor, a woman, is definitely better than the physician assistant, a man. Maybe woman are better at it? Traditionally, nurses used to be women.
JK

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My orthopod has his PA do it – i fell confident with Jason.

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I am trying to find out exactly how they are given – Found one on U Tube, but that was scary – Will call the office today and ask what the procedure is. I am a nurse so know a little bit about a lot – but don't know Ortho.

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@marthaellen

Hello Mary I'm I have had the cortisone shots in my hip plus soon afterwards, bone marrow aspirate injection, neither were effective. Everyone responds differently. Soon I am to have a Conformis Hip, after a year of waiting

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What is the Conformis Hip that you speak of?

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Yes, I Just had one on Wednesday. It was painful but not unbearable. I am having quite a bit of pain afterwards though, I didn't rest like I should have and went to work after. Please rest after you have had it!

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@rocksee8119

Yes, I Just had one on Wednesday. It was painful but not unbearable. I am having quite a bit of pain afterwards though, I didn't rest like I should have and went to work after. Please rest after you have had it!

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Hello, and welcome to Mayo Connect. We are a community of people living with a variety of health issues, who help each other through their journeys. We are not care providers, so we don't provide medical advice, just share our own experiences.

I had numerous cortisone injections beginning around age 50 while trying to delay total hip replacements, which I finally gave in and had done at age 54. If you don't feel any relief after 7 days, talk to the doc. Even if you weren't a "good patient" who rested, if the cortisone is going to work for you, you will feel it by then.

For the curious among you, I will add that I am now 69 and easily able to run and play with my young grandchildren, garden, walk, dance and pretty much do everything except jump, in spite of worsening arthritis. If I had not listened to the doc, and had the hips replaced when he said "Now it's time" the damage would have been so extensive that it couldn't be done at all. So, by all means, try the injections, but if they don't work, it's time for surgery. (PS My still working 66 yo brother had his done so he could continue to waterski with his grandkids. He says he should have done it 5 years earlier because constant pain is so wearing)

Good luck.
Sue

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Thank -you for your response! I have pretty much decided to go ahead with the replacement, wish I had not taken that last Cortisone injection. I'm being told I have to wait 3 months now! Is that absolutely written in stone? If so, I will do it. So happy to hear your positive results.

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@rocksee8119

Thank -you for your response! I have pretty much decided to go ahead with the replacement, wish I had not taken that last Cortisone injection. I'm being told I have to wait 3 months now! Is that absolutely written in stone? If so, I will do it. So happy to hear your positive results.

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I had a cortisone shot in my knee in December which did not work and then had to wait 3 months to schedule knee replacement surgery. Coronavirus postponed it further but yes, you have to wait at least 3 months after any cortisone injection before having surgery because of the increased risk of infection.

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